Provider Demographics
NPI:1649337403
Name:GOWAN, J. CHRIS (DDS)
Entity type:Individual
Prefix:
First Name:J. CHRIS
Middle Name:
Last Name:GOWAN
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4600 POST OAK PLACE DR
Mailing Address - Street 2:SUITE 102
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77027-9705
Mailing Address - Country:US
Mailing Address - Phone:713-840-7179
Mailing Address - Fax:713-840-7815
Practice Address - Street 1:4600 POST OAK PLACE DR
Practice Address - Street 2:SUITE 102
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77027-9700
Practice Address - Country:US
Practice Address - Phone:713-840-7179
Practice Address - Fax:713-840-7815
Is Sole Proprietor?:No
Enumeration Date:2007-01-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX178001223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice